Active NPI
Mayra S Mahadin M D P C
- Cardiovascular Disease Physician
- Jackson Heights, NY
National Provider Identifier
1932394020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 155360
- Legal business name
- MAYRA S MAHADIN M D P C
- Practice address
- 3757 91St St
Jackson Heights, NY 11372-7901 - Phone
- (718) 651-6500
- Fax
- (718) 651-0634
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mayra S Mahadin, M.D.
- Title
- Owner
- Phone
- (718) 651-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 155360 | NY | Primary |
Addresses
Primary practice location
3757 91St St
Jackson Heights, NY 11372-7901
Mailing address
3757 91St St
Jackson Heights, NY 11372-7901
Phone (718) 651-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Jackson Heights, NY
- NPI 1972511160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1932394020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727901",
"telephone_number": "718-651-6500",
"fax_number": "718-651-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3757 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727901",
"telephone_number": "718-651-6500",
"fax_number": "718-651-0634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYRA S MAHADIN M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "MAHADIN",
"authorized_official_first_name": "MAYRA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-651-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "155360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.